Angela Achkar
Individual provider Active NPI Internal Medicine Physician · Brighton, MA
NPI 1740971308 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1740971308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 3014687 (MA)
- Practice address
- 736 Cambridge St
Brighton, MA 02135-2907 - Phone
- (617) 779-6342
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240613002724 | MA | Order and Referring Only - Internal Medicine |
0345783767 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014687 | MA | MD | Internal Medicine Physician |
Interoperability endpoints
- aachkar251836@direct.bmc.masshiway.net
- angela.achkar.1@2017.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3014687 | MA | Yes |
Addresses
Primary practice location
736 Cambridge St
Brighton, MA 02135-2907
Mailing address
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 779-6342
Other providers in Brighton, MA
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- Ahmed Mohamed Abouelazaem
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- Kathryn E Ackerman
- Martin A Acquadro
- Alexandra Kaye Adams
- Katherine Adams
- Laura Adams
All providers in Brighton, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.